HomeMy WebLinkAboutNCS01179_2020Permit_Initial 2020
Permit and Registration
R&R Pumping Service
is hereby issued a Septage Management Firm Permit, Permit Number NCS-01179
And by virtue of completing the annual training
requirements is hereby registered as a Septage Management Firm
in the State of North Carolina.
This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable to any other person, business or entity.
Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800 et.seq.,
conditions of the permit, and representations made in the application and accompanying documents for a permit. The permit holder is authorized to discharge septage only at the locations(s) listed below: 1. Rocky River Regional WWTP, Concord NC
2. Cross Creek WRF/Rockfish Creek WRF, Fayetteville NC
3. Septage Detention or Treatment Facility, SDTF-26-05, SDTF-34-
06 & SDTF-60-09
This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management facility
not specified herein. Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes. This permit and registration expires on
December 31, 2020.
__________________________________________________ Adam Ulishney, Environmental Compliance Branch Head
State of North Carolina
Environmental Quality
Waste Management
Application for Permit to Operate a
Septage Management Firm
For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-
707-8283).
Firm name**
Septage Management Firm permit number (NCS #)**
Street address of office**
County**
Mailing address same as street address of office?**
Phone**Fax
Email**
Firm owner's name**
Mailing address same as street address of office?**
Phone**Fax
Firm operator's name**Firm operator's title
Mailing address same as street address of office?**
Phone**Fax
Firm Info
R & R Pumping Service
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01179
Enter the five digits following the NCS #
City
Kannapolis
State / Province / Region
North Carolina
Postal / Zip Code
28083
Country
United States of America
Street Address
1933 Michelle Dr.
Address Line 2
Rowan
Yes No
704-985-3707 704-938-5660
rdk47@live.com
Owner Info
Richard Kaylor Sr.
Yes No
704-985-3707 704-938-5660
Operator Info
Richard Kaylor Sr.Owner/Operator
Yes No
704-985-3707 704-938-5660
Amount in gallons *
DomesticDomestic
Portable Toilet WastePortable To ilet Waste
Grease (Restaurant)Grease (R estaurant)
Treatment PlantTreatment Plant
Industrial/CommercialIndustrial/Co mmercial
List each county you plan to do business in:**
Do you plan to operate pumper vehicles?**
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the requirements for safe
and sanitary transportation of septage as required by 15A NCAC 13B .0844(a) and vehicle lettering as required by 15A NCAC .0844(b).
Furthermore, I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0839(a). I am aware that
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date**
Title**
Choose how to add vehicle descriptions**
Pumper Vehicles
Usage*License Tag #*Vehicle Identification #*Tank Capacity*
Type and amount of septage pumped in the last 12 months
100,000
0
30,000
0
0
North Carolina counties of operation
All counties
Vehicle Info
Yes No
12/19/2019
Owner/Operator
Add vehicles
individually
Upload List
Domestic Septage ND-9954 1FUJFODEX7LY50647 3,000
Grease (restaurant)HR-7888 1HTMMAAM57H362734 600
Grease (restaurant)JJ-7620 1GBE5C3266F402914 1,000
Domestic Septage NE-5154 3HSDJSJRIDN146175 4,700
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant **
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:
NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*Expiration Date*Authorization
Septage Land Application Sites (SLAS)**
Septage Detention or Treatment Facility (SDTF)**
Other disposal method**
Date**Hours**
Location**
Training Sponsored or Provided by**
Date Hours
Location
Training Sponsored or Provided by
Select one**
Yes No
Rocky River Waste Treatment Plant 12/31/2021
PWC Waste Treatment Plant 12/31/2021
Liquid Environmental Solutions 12/31/2021
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
12/7/2019 4
Raleigh, NC
NC Pumper Group & NC Portable Toilet Group
Septage Land Application Site Operator Training Completed
0
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Comments or notes
Signature
Date
Print Name**Title**
Certification Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to the best of my knowledge and belief. I am
aware that a permit may be suspended or revoked upon a finding that its issuance was based upon incorrect or inadequate information that materially affected
the decision to issue the permit and that there are criminal penalties for knowingly making a false statement, representation, or certification.
12/19/2019
05:07:31 AM
Richard Kaylor Sr.Owner/Operator
PayPoint
Payment Receipt
Application: Solid Waste Credit
Merchant: NDENR-Solid Waste Credit
Merchant City/State: Raleigh, North Carolina
Merchant Location Code: 00001
Payment Status: Success
Result Message: Success
Confirmation Number: 19102849844593
Payment Date: 10/28/2019
Posting Date: 10/28/2019
Billing Information: RICHARD D KAYLOR 1933 MICHELLE DRIVE ' KANNAPOLIS, NC 28083 7049853707 RDK47@LIVE.COM
Payment Amount: 800.00 USO
Card Type: VISA
Method: Not Present
Page 1 of 1
Reference Information: NCS-01179-2020,28083,R&R Pumping Service,1933 Michelle Dr,Kannapolis,NC,NCS-01179,$800.00
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https://admin.thepayplace.com/epayadmin/paymentreceipt.aspx 10/28/2019